RNFA, DT Day, Surgical APP, Monmouth Medical Center

Job Overview:

Assist under the direction of the primary operating surgeon in the Perioperative care of the patient undergoing a surgical experience. The RNFA uses the nursing process in the formulation of the plan of care. The RFNA functions within the policies and guidelines established by the facility and reports directly to the Surgical Unit Manager. The RNFA is an expanded role of the registered nurse and is accountable for exemplifying leadership and professionalism in the implementation of the role.

Job Requirements:

• Must be a graduate from an accredited school of nursing. Minimum of 24 months preoperative experience, both scrubbing and circulating.
• Satisfactory completion of the State-approved RNFA program. Certification in Perioperative Nursing (CNOR); certified in cardiopulmonary resuscitation, basic life-saver (CPR-BLS).
• Accumulation of 150 contact hours of continuing education every 5 years.
• Successful completion of all Orientation Programs.

Essential Functions:

• Adheres to institutional policies and procedures reflecting attendance, registered nurse professional responsibility, standards of care and communication through chain of command.
• Assesses the patient pre-operatively and develops a nursing care plan on the assessment.
• Communicates post-operative information as directed by primary surgeon.
• Continuous assessment of the patient during the intra-operative phase of the surgical experience
• Demonstrates intraoperative competency as an RFNA.
• Formulation of nursing diagnoses
• Initiates appropriate intraoperative behaviors unique to first assisting.
• KNOWLEDGE: (a) principles of asepsis and infection control; (b) surgical anatomy and physiology; (c) surgical procedures. SKILLS: (a) manual dexterity; (b) suturing and ligating; (c) providing hemostasis; (d) exposing the surgical site; (e) positioning, prepping and draping.
• Observes institutional policy and practices the art and science of registered nursing in the expanded role of the RNFA.
• Post-operative assessment, evaluation and teaching.
• Practices within the guidelines established by the State of New.
• RNFA accompanies the patient to the postoperative unit as needed and communicates with the patient and family (significant other) as designated by the primary surgeon. RNFA, in collaboration with the primary surgeon and others, evaluates the attainment of expected outcomes.
• RNFA interprets the assessment data and plans care appropriate to other pending surgical procedure. RNFA collaborates with the primary surgeon and others to facilitate the pending surgical procedure and the attainment of favorable patient outcomes.
• RNFA is aware of the environment observing for potential sources of injury to self, team, and the patient. RNFA practices universal precautions at all times and is in observance of OSHA regulations.
• RNFA observes condition of patient and initiates emergency measures as needed.
• RNFA reviews objective and subjective data. Is aware of lab results and pending tests. The assessment includes the patient as a member of a family unit and a member of society. RNFA is aware of cultural and personal influences in the interpretation of assessment data. RNFA communicates finding to the primary surgeon.
• (a) handles tissue; (b) provides exposure; (c) handle instruments; (d) sutures; (e) provides hemostats; (f) closes tissue and skin and write orders as per policy for verbal orders with the co-signature of the primary surgeon.
• RNFA does not- (a) perform the intended procedure; (b) perform the task of the surgeon; (c) simultaneously function as a scrub nurse. Recognizes potential hazards and initiates corrective action.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered,

high-quality academic medicine in a compassionate and equitable manner, while delivering

a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer